TURP or PAE? 645d50d636188.png


Today we will continue looking at a surgical method to treat benign prostate hyperplasia ( BPH) that has been around for a very long time called transurethral resection of the prostate (TURP).

We will also compare some of the risks it carries with that of a more recent and extremely effective procedure for BPH called prostate artery embolization ( PAE).

So which is better TURP or PAE? What are the benefits? The side effects? And the risks?

One of the benefits of treating benign prostate hyperplasia through the surgical procedure, transurethral resection of the prostate( TURP), is that it has been around for a long time.

The procedure has stood the test of time, and the results of it have been known to have long-term outcomes, with its effects sometimes lasting as long as 15 years or more.

Another benefit of TURP is that like Prostate Artery Embolization, TURP doesn’t involve any incisions.

However, TURP is very different that PAE.

Prostate Artery Embolization is an outpatient procedure performed by an interventional radiologist.

PAE begins with the insertion of a tiny catheter that is threaded through the blood vessels until it reaches the artery that supplies blood to the prostate.

Once in place, tiny beads are sent through the catheter and are released into the artery. These particles then create a blockage that decreases the blood flow to the prostate in order to stop its growth.

While TURP, is also non-invasive in that it is not an open surgery, it is still a surgery nonetheless and is quite different than PAE.

TURP is a surgery that involves an instrument called a resectoscope, which is inserted through the tip of the penis and into the urethra. Then, using an electrical current, pieces of the prostate are removed.

Unlike PAE which is a same-day procedure, TURP usually involves a hospital stay and has a much longer recovery time.

Another key difference between the TURP procedure and PAE is the specific set of side effects and risks that come with either procedure.

One area in which they differ greatly is the effect that the procedure can have on erectile function.

While one method carries a risk of retrograde ejaculation and erectile dysfunction, the other carries no risk of retrograde ejaculation, and can actually improve erectile function.

In our next article, we will dive deeper into the effect that TURP and PAE have on erectile function or dysfunction.

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